Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.94 / $21.35 / $89.98	Facility		$10.94	$21.35	$89.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $11.64 / $16.53	Professional		$10.50	$11.64	$16.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.82 / $9.82 / $9.82	Professional		$9.82	$9.82	$9.82
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Professional		$23.44	$23.44	$23.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.82 / $31.03 / $64.79	Facility		$13.82	$31.03	$64.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.06 / $11.66 / $20.65	Professional		$9.06	$11.66	$20.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.50 / $8.08 / $11.31	Professional		$6.50	$8.08	$11.31
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.90 / $8,702.00 / $13,785.00	Facility		$9.90	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $9.90 / $13.00	Professional		$9.90	$9.90	$13.00
United Facility/Professional Facility Modifier Low / Median / High Price $7.78 / $7.78 / $7.78	Facility		$7.78	$7.78	$7.78
United Facility/Professional Professional Modifier Low / Median / High Price $5.47 / $8.48 / $19.77	Professional		$5.47	$8.48	$19.77